Comparison of frailty assessment and related tools in elderly hospitalized patients with atrial fibrillation
10.3760/cma.j.issn.0254-9026.2023.02.003
- VernacularTitle:老年心房颤动住院患者衰弱评估及相关工具比较
- Author:
Junpeng LIU
1
;
Lingling CUI
;
Di GUO
;
Chen MENG
;
Wanrong ZHU
;
Wei DONG
;
Guobin MIAO
;
Bohan LIU
;
Peng LIN
;
Hua WANG
;
Jiefu YANG
Author Information
1. 北京医院心内科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Atrial fibrillation;
Sensitivity and specificity;
Frailty
- From:
Chinese Journal of Geriatrics
2023;42(2):154-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective:We evaluated frailty in elderly hospitalized patients with atrial fibrillation and analyzed the relevance, consistency, and diagnostic power of different frailty tools.Methods:From September 2018 to April 2019, a total of 197 elderly patients with atrial fibrillation aged ≥ 65 years in Beijing Hospital, Chinese PLA General Hospital, and Beijing Tsinghua Changgung Hospital were prospectively enrolled.Five frailty tools, including the clinical frailty scale(CFS), FRAIL scale(FRAIL), Fried frailty phenotype(Fried), Edmonton frail scale(EFS), and comprehensive geriatric assessment-frailty index(CGA-FI), were used for frailty assessment.Results:A total of 197 hospitalized elderly patients with atrial fibrillation were enrolled, with an average age of(77.5±7.1)years old(57.4% male). The prevalence of frailty, according to the five frailty tools, were 25.4%(FRAIL), 27.9%(EFS), 34.5%(Fried), 40.6%(CFS), and 42.6%(CGA-FI), respectively.CFS had a good correlation(correlation coefficient 0.80)and and consistency(Kappa value 0.71, 95% CI 0.61~0.81)with CGA-FI.The combined frailty index was used as the gold standard for frailty diagnosis.The results showed that CFS and CGA-FI had high diagnostic sensitivity(95.9 % and 98.0 %, respectively)and specificity(77.7 % and 75.7 %, respectively). Conclusions:Frailty is common in elderly hospitalized patients with atrial fibrillation, showing multidimensional features, and physical weakness is not prominet.CFS and CGA-FI are recommended for the assessment of frailty in patients with atrial fibrillation, which had good correlation and consistency.
